| NPI | 1427426568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95003673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 810389) |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2021-04-09 |