| NPI | 1801367610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95010912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 233794) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2020-01-15 |