| NPI | 1265684914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 9500017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 4918219-4405) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2022-02-24 |