| NPI | 1720671662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95029890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29074) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11015370) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2024-07-02 |