| NPI | 1295248003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010448) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202003830NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007929) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-10-04 |