| NPI | 1760945596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95015806) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 344662) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-08-09 |