| NPI | 1023590320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 007819) |
| 363L00000X Nurse Practitioner (Licence: FL 11018163) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.007819) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-05-03 |