| NPI | 1679850374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021048684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20969) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-01-04 |