| NPI | 1255671350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 74800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22853) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2023-08-01 |