| NPI | 1841764073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010250) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 583712) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |