| NPI | 1932718574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95162166) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2021-05-19 |