| NPI | 1053894717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343571) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-08-20 |