| NPI | 1487328662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60082679) |
| 163W00000X Registered Nurse (Licence: CA 95170989) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-05-26 |