| NPI | 1952963498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95076508) |
| 363L00000X Nurse Practitioner (Licence: CA 95010838) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2023-12-22 |