| NPI | 1225540578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 664357) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-01-27 |