| NPI | 1831592286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF95001235) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-12-06 |