| NPI | 1952606675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F3362011) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2022-02-11 |