| NPI | 1093947616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 20586) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2020-11-19 |