| NPI | 1154047181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244838A) |
| 163W00000X Registered Nurse (Licence: CA 95374146) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013180A) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-10-15 |