| NPI | 1538105903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03919) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA np15325) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-04-12 |