| NPI | 1295000578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337116) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-11-22 |