| NPI | 1407347065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 798764) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2020-10-05 |