| NPI | 1376957282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 129138-4) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-05-31 |