| NPI | 1760400972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP6484) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN333792) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-12-01 |