| NPI | 1255682373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991226) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F337073) | |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2020-04-22 |