| NPI | 1467813683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029500) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: ZZ L-302627) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-06-02 |