| NPI | 1235745373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017386) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11009846) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-04-07 |