| NPI | 1831629252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95006588) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006588) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |