| NPI | 1750898441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC AMBR-6FP0U6) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-03-02 |