| NPI | 1922417120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2276997) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2022-07-21 |