| NPI | 1669836748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ NP9834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004032) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2017-01-20 |