| NPI | 1528609427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F10190047) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2021-04-16 |