| NPI | 1841850252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA N360977407) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-01-05 |