| NPI | 1619370194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F0714462) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2022-03-14 |