| NPI | 1801501838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95352479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704317559) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2024-10-08 |