| NPI | 1528732252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95017934) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2024-07-02 |