| NPI | 1669196424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95022616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95037402) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-09-12 |