| NPI | 1598215915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95080367) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2022-11-23 |