| NPI | 1205425931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11010774) |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2022-02-11 |