| NPI | 1427873223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95112877) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |