| NPI | 1336597004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004872) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95044590) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-10-15 |