| NPI | 1003560962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019830) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95019830) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 95019830) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2026-01-13 |