| NPI | 1053471052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP16307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336229) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-03-14 |