| NPI | 1730738733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95019821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 344636) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-10-02 |