| NPI | 1497123244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R195215-7) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-10-17 |