| NPI | 1285385922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10007705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 257309) |
| 163W00000X Registered Nurse (Licence: OR 10007705) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32691) | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2023-10-20 |