| NPI | 1306247283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R189468) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-07-21 |