| NPI | 1730549445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011543) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 851609) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-05-21 |