| NPI | 1215566922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10017614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013864) |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2024-01-04 |