| NPI | 1265834121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95001326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F0914361) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2021-06-01 |