| NPI | 1386608438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 10596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA RN390049) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-11-11 |