| NPI | 1518355411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 836095) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2020-08-27 |