| NPI | 1811624695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95021929) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-06-25 |