| NPI | 1548691686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP9500477) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013430) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2023-08-01 |