| NPI | 1396267043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343419) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-08-13 |