| NPI | 1831612456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9399295) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9399295) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-10-03 |