| NPI | 1447648456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835967) |
| Enumeration Date | 2014-12-27 |
| Last Update Date | 2024-02-21 |