| NPI | 1053887455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95009579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95068012) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA NP95009579) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95009579) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-01-26 |