| NPI | 1477028819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1807159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95010136) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2023-01-13 |