| NPI | 1326596073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016035216) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009883) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-06-08 |