| NPI | 1629251269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 17053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD AC000682) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-12-14 |