| NPI | 1497530224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95026338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R209407) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2025-03-14 |