| NPI | 1831542620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790215) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-07-02 |