| NPI | 1982134862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201802008NP-PP) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-09-13 |