| NPI | 1508378563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95018183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 342276) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2021-12-16 |