| NPI | 1518565738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 2020068104) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-01-03 |