| NPI | 1952057655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95020268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 798142) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-04-04 |