| NPI | 1275127664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021298) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5021298) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016534) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-11-24 |