| NPI | 1437771680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015014) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95163430) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-09-30 |