| NPI | 1619594124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 831410) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-01-16 |