| NPI | 1376909770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702046) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 53104) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003479) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-02-05 |