| NPI | 1538710330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ APRN231279) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-09-05 |