| NPI | 1750904066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95024819) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 567765) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-07-17 |