| NPI | 1336625524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 312871) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-08-17 |