| NPI | 1699367771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016980) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: CA 787211) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2022-10-04 |