| NPI | 1548631781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 781571) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2023-11-21 |