| NPI | 1619959376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA FNP 11365) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA CNS 159) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-03-07 |