| NPI | 1639669963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 838620) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-03-12 |