| NPI | 1366707713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901939) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-09-25 |