| NPI | 1275257438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202200909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019297) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-03-06 |