| NPI | 1770222184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021134) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95021134) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-09-09 |