| NPI | 1720404163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000357) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 774849) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9298698) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2019-11-06 |