| NPI | 1306253315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000747) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-09-25 |