| NPI | 1396238929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95008743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP220464) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2021-07-31 |