| NPI | 1063895340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9199571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95027940) |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2024-10-11 |