| NPI | 1023323334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F336209) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-07-14 |