| NPI | 1265047419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2986) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-10-21 |