| NPI | 1952419202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201404727) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-08-28 |