| NPI | 1972002228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95009438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95909438) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2021-05-25 |