| NPI | 1689319683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10033807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020577) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-02-04 |