| NPI | 1851712426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013099) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2020-02-03 |