| NPI | 1710506472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 755399) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-04-26 |