| NPI | 1164908596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95077179) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-05-16 |