| NPI | 1639549751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95005874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 591051) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-05-11 |