| NPI | 1376182402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95012896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 839846) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-11 |