| NPI | 1114454816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95113655) |
| 164W00000X Licensed Practical Nurse (Licence: CA VN279709) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-05-19 |