| NPI | 1306518196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018182) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA 95018182) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2022-02-24 |