| NPI | 1043799703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95165894) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95030204) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-06-14 |