| NPI | 1578160230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015891) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 752714) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-06-08 |