| NPI | 1205232808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 159912) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9396075) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2022-12-07 |