| NPI | 1245695667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005479) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1104465) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2023-04-12 |