| NPI | 1750794202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002816) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT R50748) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-01-21 |