| NPI | 1346644226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 23808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2292222) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-01-24 |