| NPI | 1750897542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95007499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 957499) |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2023-05-08 |