| NPI | 1699334847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011837) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 95025114) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-08-12 |