| NPI | 1427515485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0994249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95011250) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-08-08 |