| NPI | 1740729805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95009486) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2284310) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-09-22 |