| NPI | 1275822520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-087100) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9212041) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087100) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-10-18 |