| NPI | 1558757807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014503) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-03-05 |