| NPI | 1548948854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95027979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95086228) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-12-12 |