| NPI | 1891209219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007509) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA NP95007509) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007509) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-29 |