| NPI | 1669712089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9501688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95018688) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95018688) | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2022-06-15 |