| NPI | 1457607517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3371371) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2022-06-30 |