| NPI | 1891207668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R196930) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181630) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2023-03-31 |