| NPI | 1699142471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002895) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2024-04-12 |