| NPI | 1417504317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 683953) |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2023-06-29 |