| NPI | 1003268434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 746562) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-04-19 |