| NPI | 1891769949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019002282) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN564299) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-03-15 |