| NPI | 1386129294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202000932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010062) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-11-01 |