| NPI | 1215327119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95001951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP61169572) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2024-09-17 |