| NPI | 1174071799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029810) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-08-30 |