| NPI | 1871199547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 95015977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015977) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-08-08 |