| NPI | 1447814397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005764) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011515) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-11-08 |