| NPI | 1689195943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014406) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA 836742) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2021-07-30 |