| NPI | 1396139556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000848) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 769520) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-12-23 |