| NPI | 1316565526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2345303) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-02-09 |