| NPI | 1144822529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R165407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015860) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-03-31 |