| NPI | 1225506397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176854) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-05-08 |