| NPI | 1467019141 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-174308)  | 
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 570238)  | 
| Enumeration Date | 2019-05-28 | 
| Last Update Date | 2024-02-19 |