| NPI | 1073990859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95001362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95001362) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-01-21 |