| NPI | 1265943203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA F08170134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID 79420) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-05-17 |