| NPI | 1689864001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 388185) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF4584) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 4584) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 388185) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-03-07 |