| NPI | 1053039529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021165) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-09-15 |