| NPI | 1639736770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010622) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2024-09-17 |