| NPI | 1982468583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95032600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI APRN-4455-0) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-11-12 |