| NPI | 1205192713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95019912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 337101) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2022-06-23 |