| NPI | 1134637861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008310) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95008310) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-09-24 |