| NPI | 1740936111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95156349) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-05-11 |