| NPI | 1609415140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95014156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11005524) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2022-12-06 |