| NPI | 1154975977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN70691) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178208) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-07-08 |