| NPI | 1912220286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336106) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2019-04-16 |