| NPI | 1285226092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95018212) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000028489) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-08-27 |