| NPI | 1366954620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 11286) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 088676-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03136) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2023-04-19 |