| NPI | 1982240966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95185871) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-09-05 |