| NPI | 1033995360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 12394362-4405) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95088181) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95027141) | |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2024-09-12 |