| NPI | 1144828112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017003) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 690610) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-05-09 |