| NPI | 1700461308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 762738) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2023-10-17 |