| NPI | 1053054361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95032334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95235554) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-10-08 |