| NPI | 1710566047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015981) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 95015981) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-08-01 |