| NPI | 1023465747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95007636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95049217) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-05-11 |