| NPI | 1114401569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 803343) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 81598) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |