| NPI | 1952996902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F12200984) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-07-21 |