| NPI | 1770021230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95009232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95009232) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2018-06-18 |