| NPI | 1235613480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022017912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010068) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2022-08-12 |