| NPI | 1699257907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28191417A) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-01-18 |