| NPI | 1407151780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019028114) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002256) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010042113) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-04-13 |