| NPI | 1689289688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018524) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 1059956) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-08-15 |