| NPI | 1790243988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 202002287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA F03190119) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2023-08-08 |