| NPI | 1083085872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1999) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-09-18 |