| NPI | 1992231096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270032) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175056) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2019-05-10 |