| NPI | 1609200187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2278292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95015980) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-06-11 |