| NPI | 1689391724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: HI 3944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA F10221016) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-06-23 |