| NPI | 1487299673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R202947) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2025-01-07 |