| NPI | 1447542303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011011195) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2021-07-22 |