| NPI | 1720795990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030438) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 759861) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-12-19 |