| NPI | 1679253215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95163264) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11029289) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-04-25 |