| NPI | 1447858139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015474) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 11501) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-10-21 |