| NPI | 1073060943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005904) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006698) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2020-02-18 |