| NPI | 1780802629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN960580) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-07 |