| NPI | 1639696065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177327) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2023-06-12 |