| NPI | 1790774057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 9993) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF9993) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2021-07-07 |