| NPI | 1811902661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 16350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP16350) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-07-12 |