| NPI | 1912569195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F07190270) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2020-02-06 |