| NPI | 1982141511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA NP95004628) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2024-12-05 |