| NPI | 1689927543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN105191) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2023-09-07 |