| NPI | 1346616745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847491) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 87621) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2021-08-16 |