| NPI | 1700170966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95009051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 336555) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F336555) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-09-14 |