| NPI | 1669072690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95224936) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2022-08-19 |