| NPI | 1265749071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3732) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2018-04-10 |