| NPI | 1700525342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95186705) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-05-24 |