| NPI | 1821653783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012094) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 627270) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2022-02-25 |