| NPI | 1598200446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 771769) |
| 163W00000X Registered Nurse (Licence: CA 78171) | |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |