| NPI | 1386232395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95010444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95077357) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-02-17 |