| NPI | 1669160883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11025158) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-08-18 |