| NPI | 1912350752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22701653) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2022-03-04 |