| NPI | 1942759220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-3459) |
| 363L00000X Nurse Practitioner (Licence: OR 10020978) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-05-16 |