| NPI | 1497472831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997738-NP) |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2025-03-07 |