| NPI | 1922421148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023936) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1095189) |
| 163W00000X Registered Nurse (Licence: CA 95198398) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2023-03-22 |