| NPI | 1356822951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95009783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A117656) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-04-06 |