| NPI | 1568953172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 7771530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006872) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-02-10 |