| NPI | 1790431260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95033652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11018325) |
| 363L00000X Nurse Practitioner (Licence: NY 433197) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2025-02-28 |