| NPI | 1457584682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006879) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 3931) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95133420) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2022-12-23 |