| NPI | 1013467745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6734) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2023-06-29 |