| NPI | 1801413471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 866638) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-08-23 |