| NPI | 1083116586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008568) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95008568) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-06-29 |