| NPI | 1811397177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001756) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2024-11-11 |