| NPI | 1982386231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10005340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025610) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-02 |