| NPI | 1508833856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP23255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2751892) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-05-28 |