| NPI | 1235804857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016510) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-06-24 |