| NPI | 1912887068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 338734) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |