| NPI | 1396347787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015520) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95037771) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |