| NPI | 1013478569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95207424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID 60704) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95207424) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-09-10 |