| NPI | 1710902242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 12222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 266436) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-05-11 |