| NPI | 1346706561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013394) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010892) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-04-12 |