| NPI | 1629421839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95007883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 830474) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-11-30 |