| NPI | 1609274232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 23021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23021) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2018-04-20 |