| NPI | 1528534005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010297) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2283832) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2283832) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2019-07-12 |