| NPI | 1528207552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18296) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2023-01-18 |