| NPI | 1316314693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 64975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002571) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2025-07-10 |