| NPI | 1588293237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 212197) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231523) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2025-11-18 |