| NPI | 1669938320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 79075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008457) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2026-06-05 |