| NPI | 1770561516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN 398082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 16680) |
| 363L00000X Nurse Practitioner (Licence: CA NP 13724) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-03-07 |