| NPI | 1184894545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2250) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2024-03-07 |