| NPI | 1427694033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95029349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178419) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-08-08 |