| NPI | 1588132435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179928) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA NP95009578) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95009578) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-09-16 |