| NPI | 1184235236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10015762) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034447) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-11-29 |