| NPI | 1093282634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95020954) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 8788-33) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-06-28 |