| NPI | 1831717982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95024119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 61061134) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61061134) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-08-01 |