| NPI | 1801528690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029379) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MI 4704355474) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-02-11 |