| NPI | 1881835122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002248) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95002248) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2024-09-30 |