| NPI | 1609479682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1015154) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2024-06-21 |