| NPI | 1386800449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2023019053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 281939) |
| 163W00000X Registered Nurse (Licence: CA 755051) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2023-07-18 |