| NPI | 1366986069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005373) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 866836) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2024-06-08 |