| NPI | 1295255826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN3393982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95006597) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2023-01-17 |