| NPI | 1023141199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 14514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R190676) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-12-06 |