| NPI | 1306323118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2490) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-12-19 |