| NPI | 1588776074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 489554) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 10546) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-07 |