| NPI | 1669131579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 348686) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-04-02 |