| NPI | 1760951354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95011289) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011289) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 347663) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2024-03-19 |