| NPI | 1407587538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 35562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95021356) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-03-18 |