| NPI | 1457961237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95162317) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-07-28 |