| NPI | 1578009528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22099) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-03-02 |