| NPI | 1871895508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013626) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 224535) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-03-10 |