| NPI | 1891530176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95045420) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |