| NPI | 1912344359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019839) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2022-03-23 |