| NPI | 1952984783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137102) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2022-08-02 |