| NPI | 1770094427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007659) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2023-09-07 |