| NPI | 1972154797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012175) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-02-25 |