| NPI | 1679945232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95003005) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-12-11 |