| NPI | 1740772896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019476) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV RN49717) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-01-18 |