| NPI | 1033593892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2283285) |
| 163W00000X Registered Nurse (Licence: CA 95065055) | |
| 163W00000X Registered Nurse (Licence: MA 2283285) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2022-10-10 |