| NPI | 1659798585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 817136) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2019-07-29 |