| NPI | 1437660321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA 60787592) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-11-30 |