| NPI | 1164059770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014246) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-06-02 |