| NPI | 1710446133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010923) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R194825) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |