| NPI | 1013466846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21844) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-11-16 |