| NPI | 1982046793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA F0713306) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 23084) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-09-05 |