| NPI | 1538639489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F06180248) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-08-31 |