| NPI | 1831948512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95028111) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA NP95028111) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-10-10 |