| NPI | 1013668680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 257288) |
| 163W00000X Registered Nurse (Licence: CA 95268580) | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-05-18 |