| NPI | 1558728220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003893) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 785258) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-08-30 |