| NPI | 1497081970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP004901B) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295919) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 084358-21) | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2024-01-08 |