| NPI | 1598483299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030437) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 10734) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-09-19 |