| NPI | 1700835444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 427433 NP: 11262) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA15281) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-09-14 |