| NPI | 1962851337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340298-1) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-09-02 |