| NPI | 1346587557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R189421) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2025-02-28 |