| NPI | 1174272884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95031204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95376555) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997103-NP) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2025-09-18 |