| NPI | 1003834771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1005286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA np16396) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012851) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9318004) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-03-17 |