| NPI | 1730961012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F08230525) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-08-07 |