| NPI | 1649631458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R229281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003755) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2022-07-21 |