| NPI | 1306373832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 10117) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 078207-23) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2023-01-19 |