| NPI | 1831593136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95034057) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2022-12-06 |