| NPI | 1760871065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001231) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95001231) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95001231) | |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2022-07-21 |