| NPI | 1992347496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835639) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95013236) | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2024-09-17 |