| NPI | 1801485545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 240646) |
| 163W00000X Registered Nurse (Licence: CA 95207886) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2023-04-20 |