| NPI | 1700157724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95002166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011719) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2019-05-03 |