| NPI | 1932557675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95003797) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2022-09-30 |