| NPI | 1861859084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 950003660) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003660) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-06-27 |