| NPI | 1083907547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95043997) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 223137) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2023-09-24 |