| NPI | 1679120943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95170278) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-08-06 |