| NPI | 1477193977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013189) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95105023) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-11-23 |