| NPI | 1780175190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9369010) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95012057) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-06-16 |