| NPI | 1518422252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018539) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 686731) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-12-04 |