| NPI | 1497151575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 13980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 13980) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2019-02-26 |