| NPI | 1578026399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 64776) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA NP95011277) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 64776) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-09-21 |