| NPI | 1417409954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 3310-0) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005351) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-06-02 |