| NPI | 1063999852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 53355) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2021-12-30 |