| NPI | 1154788016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3052412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003739) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP3052412) | |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2023-12-13 |