| NPI | 1154664068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4903) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-03-07 |