| NPI | 1053729012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 448756) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95000838) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-05-07 |