| NPI | 1265811616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11017865) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 772951) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95015726) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-11-09 |