| NPI | 1477969913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011220) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111713) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2020-06-29 |