| NPI | 1881149474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95195579) |
| 163W00000X Registered Nurse (Licence: PA RN612893) | |
| 363L00000X Nurse Practitioner (Licence: PA SP016589) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP016589) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-10-22 |