| NPI | 1497125595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179626) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2020-11-19 |