| NPI | 1063854446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5122) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2019-03-15 |