| NPI | 1245469915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 2417) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-12-06 |