| NPI | 1760910665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016005873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202114568NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025644) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-09-07 |