| NPI | 1780152165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95016376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F343246) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-12-20 |