| NPI | 1568172716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95023704) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95208111) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-10-10 |