| NPI | 1942445424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001052) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2022-01-03 |