| NPI | 1902287352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 8552) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8552) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-05-21 |