| NPI | 1952957235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95188899) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-07-06 |