| NPI | 1285348987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R218145) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-01-22 |