| NPI | 1639497688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350110NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19151) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-01-29 |