| NPI | 1245960335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 56359) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020572) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020572) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-05-28 |