| NPI | 1760260392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 869145) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |