| NPI | 1447389895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 6510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 437172) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 6510) | |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2022-01-28 |