| NPI | 1740686187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95200724) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CA 00909588) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2020-06-19 |