| NPI | 1982489084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028330) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-01-09 |