| NPI | 1518416429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 831372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004950) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2021-10-20 |