| NPI | 1730578238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 86460) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2016-08-20 |