| NPI | 1740789288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 145218) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006781) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2022-03-28 |