| NPI | 1518374263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030665) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 757937) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-10-25 |