| NPI | 1700339512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA f06162354) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2025-01-27 |