| NPI | 1659892750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 690211) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009428) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-04-03 |