| NPI | 1336737840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95017739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F346697) |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2022-07-28 |