| NPI | 1972233393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F06220991) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-09-12 |