| NPI | 1881214237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95015509) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95096731) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95015509) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2024-01-11 |