| NPI | 1063076735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009114) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95009114) | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2024-01-24 |