| NPI | 1194153304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95015434) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD 208048) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2025-06-09 |