| NPI | 1518458389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009169) |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2025-08-15 |