| NPI | 1982234027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95013375) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19822340227) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2023-01-13 |