| NPI | 1710406384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95011375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R223002) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-03-28 |