| NPI | 1922399716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95015338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 30108.1147) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2023-12-19 |