| NPI | 1467980243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9287874) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9287874) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2021-03-15 |