| NPI | 1487095063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18846) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2021-04-06 |