| NPI | 1609325430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 813037) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-08-11 |