| NPI | 1235647298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008297) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55173) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-07-16 |