| NPI | 1093263493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015107) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F0316769) |
| 163W00000X Registered Nurse (Licence: CA 95226738) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2022-03-29 |