| NPI | 1619202165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 670263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 670263) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-01-17 |