| NPI | 1538518949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NR12997200) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-09-09 |