| NPI | 1295183069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95029878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28200956A) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2025-01-13 |