| NPI | 1427555754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000023638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007900) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-12-10 |