| NPI | 1588218523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 776381) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-01-10 |