| NPI | 1699227819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847372) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |