| NPI | 1700299906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5587) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-01-02 |