| NPI | 1174269468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 728914) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-11-08 |