| NPI | 1205562246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019337) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021794) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2025-08-08 |