| NPI | 1548562937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8569) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CA 8569) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2023-03-01 |