| NPI | 1619294113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R177619) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23302) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-03-11 |