| NPI | 1225557747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006670) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: CA 601853) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |