| NPI | 1821572223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9366439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020390) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-06-23 |