| NPI | 1124694377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95244991) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95024472) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-03-04 |