| NPI | 1295177376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000990) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1018398) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-02-25 |