| NPI | 1538501515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2283120) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283120) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-11-18 |