| NPI | 1720756992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 303886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 303886) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-08-20 |