| NPI | 1811412968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030952) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-02-08 |