| NPI | 1679957740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687077) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2020-06-11 |