| NPI | 1174824858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 28138471A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 18550) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2020-08-04 |