| NPI | 1477216794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 847206) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018657) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-03-14 |