| NPI | 1386184489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006854) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201909573NP-PP) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2025-02-07 |