| NPI | 1316394521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 567354) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |