| NPI | 1265890123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2288130) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-01-25 |