| NPI | 1619168424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 73625) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-02-05 |