| NPI | 1376016048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11009616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95009138) |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2022-08-19 |