| NPI | 1215569223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 237837) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-02-06 |