| NPI | 1801435516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95014037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R222743) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-07-07 |