| NPI | 1154630838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95005629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9234703) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-07-21 |