| NPI | 1275146771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95037582) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-11-20 |