| NPI | 1821819301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031599) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F02240409) |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |