| NPI | 1073106225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95025235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 2337842) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-05-05 |