| NPI | 1962966689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95055615) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2021-02-10 |