| NPI | 1942765391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019974) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95019974) |
| 363L00000X Nurse Practitioner (Licence: NY 431450) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2025-12-30 |