| NPI | 1609332485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010602) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2021-07-20 |