| NPI | 1417376781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 818718) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95000412) |
| 163W00000X Registered Nurse (Licence: CA 814666) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-03-31 |