| NPI | 1861943300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 841385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95005301) |
| 363A00000X Physician Assistant (Licence: CA 1138899) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-03-07 |