| NPI | 1750592424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 14704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 333762) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-11-13 |