| NPI | 1932261591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7698802-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF13877) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 151966) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-03-07 |