| NPI | 1588990634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014624) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2685472) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP2685472) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2020-08-05 |