| NPI | 1740773522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95009608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN261803) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-10-01 |