| NPI | 1194118836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-194006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95001662) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2022-04-18 |