| NPI | 1952761058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 62024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002928) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-09-14 |