| NPI | 1003186883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036180) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001115) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2023-01-26 |