| NPI | 1477924124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001229) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 701819) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2023-11-27 |