| NPI | 1568942506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 268740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008927) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2025-06-12 |