| NPI | 1689097065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 806970) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-07-31 |