| NPI | 1659769073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 806560) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2023-04-13 |