| NPI | 1306369376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006736) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A55207) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-12-14 |