| NPI | 1770898397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9248525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006161) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2021-01-16 |