| NPI | 1508527821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95061083) |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-08-05 |