| NPI | 1164648556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA RN235360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 6499) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-03-07 |