| NPI | 1922385608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95015662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 686218) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2023-04-20 |