| NPI | 1730339086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95015450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 735667) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2021-10-14 |