| NPI | 1194832444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP # 16201) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-09-19 |