| NPI | 1447778378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 830545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95006741) |
| 363L00000X Nurse Practitioner (Licence: NV 830545) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-12-12 |