| NPI | 1619378668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100621) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 31441) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-11-27 |