| NPI | 1871913574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07663) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2016-08-04 |