| NPI | 1992382246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95017114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 000) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-05-05 |