| NPI | 1285227058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95020416) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704368581) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-09-07 |