| NPI | 1841272051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01661) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001178) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-03-07 |