| NPI | 1417592478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027528) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-10-06 |