| NPI | 1619023157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2550) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-02-08 |