| NPI | 1790097269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336265) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2022-01-03 |