| NPI | 1255078101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020850) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11015784) | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-02-27 |