| NPI | 1760832497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5012415) |
| 363LF0000X Nurse Practitioner Family (Licence: SC 20254) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-10-05 |