| NPI | 1407401342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2320716) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-05-07 |