| NPI | 1366884017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277295) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-05-29 |