| NPI | 1508582610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 720267) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-02-08 |