| NPI | 1891388641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95236946) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-09-05 |