| NPI | 1952184780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95031357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-4188-0) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-08-27 |