| NPI | 1154867158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005775) |
| 163W00000X Registered Nurse (Licence: CA 698990) | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-12-20 |