| NPI | 1851057087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95018925) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-04-14 |