| NPI | 1497736193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN0668067) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001535) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-03-15 |