| NPI | 1124598834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010432) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-07-11 |