| NPI | 1841758182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177181) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 28663) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-01-12 |