| NPI | 1043976970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95018486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062138) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |