| NPI | 1669072328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 831617) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2023-07-06 |