| NPI | 1518713171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 878112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F04240512) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-05-01 |