| NPI | 1306270855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 23293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 9774416-4405) |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2021-12-30 |