| NPI | 1588139661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95009716) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2021-12-29 |