| NPI | 1780019117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60786223) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F342239-1) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2023-10-25 |