| NPI | 1356869267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007252) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2021-06-18 |