| NPI | 1437553039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 059512-23) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2016-12-06 |