| NPI | 1215716881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95027404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 352046) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-08-31 |