| NPI | 1457937971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA F02211170) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-02-14 |