| NPI | 1952647851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006004) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2020-06-12 |