| NPI | 1740637388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI 00183) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |