| NPI | 1558701094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95003087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170954) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-08-11 |