| NPI | 1881055283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 440537) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2021-10-07 |