| NPI | 1023622115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016382) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CT 155108) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2021-08-30 |