| NPI | 1720238918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 20535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP20353) |
| 363L00000X Nurse Practitioner (Licence: WA AP60047639) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-06-12 |