| NPI | 1548734536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11542) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2022-09-13 |