| NPI | 1912468893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95010269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010269) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95010269) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |