| NPI | 1427808286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95030079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 752926) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-05-13 |