| NPI | 1922253814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024182) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 20140) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3868) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2023-02-18 |