| NPI | 1194239707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60781240) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2025-01-14 |