| NPI | 1669951679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 804508) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2019-06-11 |