| NPI | 1831568013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003135) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 95003135) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2018-12-14 |