| NPI | 1659912384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018237) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME 70453) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-01-05 |