| NPI | 1336519321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183472) |
| 163W00000X Registered Nurse (Licence: CA 95060737) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2022-05-11 |