| NPI | 1366999088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95068339) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2024-02-08 |