| NPI | 1659878882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 785271) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95008855) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-03-11 |