| NPI | 1386866184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 191599-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP16635) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-11-04 |