| NPI | 1982038121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001572) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2018-09-24 |