| NPI | 1083606438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA RN435904) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: CA RN435904) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: CA RN435904) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-03-07 |