| NPI | 1205128857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP20233) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: VA 0024171255) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2020-08-17 |