| NPI | 1861916751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9346992) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-02-09 |