| NPI | 1891259537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95017269) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9341036) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2025-03-03 |