| NPI | 1356779284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11029588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 23489) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2024-03-07 |