| NPI | 1558005116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062084) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-09-26 |