| NPI | 1386943256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20700) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336601) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2025-06-05 |