| NPI | 1912460924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9396730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010983) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-10-18 |