| NPI | 1871079590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009478) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018951) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-11-12 |