| NPI | 1902559107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348091) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-11-07 |