| NPI | 1033639661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10021058) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2024-12-13 |