| NPI | 1710381066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991372) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2022-08-10 |