| NPI | 1033841861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 822902) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-11-15 |