| NPI | 1184167736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77453) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2019-09-24 |