| NPI | 1730643925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011246) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 776717) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-02-13 |