| NPI | 1902370075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP019537) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-05-14 |