| NPI | 1851931174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011252) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95011252) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NM PENDING) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NV 817099) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-04-05 |