| NPI | 1841466406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17905) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R196275) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-03-08 |