| NPI | 1659612612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337804-1) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2016-07-20 |