| NPI | 1982483640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95025664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F-351165) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |