| NPI | 1710565221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95020096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95243981) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-03-16 |