| NPI | 1942567474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 21179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21179) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2018-09-21 |