| NPI | 1902322894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95131403) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2018-03-07 |