| NPI | 1760872162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9289436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95120946) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2023-01-26 |