| NPI | 1205296720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173327) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2022-10-24 |