| NPI | 1477153278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016195) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL aprn11009689) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2022-01-27 |