| NPI | 1437859485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 652885) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-11-24 |