| NPI | 1609251909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835390) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-04-23 |