| NPI | 1891282448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1028816) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-10-08 |