| NPI | 1598389603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95015321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95173499) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-09-07 |