| NPI | 1326334145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003856) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336574) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-08-23 |