| NPI | 1447594965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250196NP) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2022-04-21 |