| NPI | 1922451772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686900) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2020-06-23 |