| NPI | 1235598749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95002201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 744270) |
| 363L00000X Nurse Practitioner (Licence: CA NPF95002201) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2021-12-17 |