| NPI | 1497170286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014007466) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 76281) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2022-07-21 |