| NPI | 1831729854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95091809) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-06-22 |