| NPI | 1700467933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10025731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016385) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-09-30 |