| NPI | 1407229172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003385) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003385) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95003385) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2021-08-30 |