| NPI | 1134771637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202203248NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95005408) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-08-09 |