| NPI | 1730699729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95125505) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-11-28 |