| NPI | 1659613230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95180945) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN246542) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-05-03 |