| NPI | 1154942209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95014403) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 232241) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2024-04-15 |