| NPI | 1114421211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306197) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-05-05 |