| NPI | 1265916944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95159653) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-12-15 |