| NPI | 1336648005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008388) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2023-01-30 |