| NPI | 1154184307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95026817) |
| 163W00000X Registered Nurse (Licence: CA 95230240) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-03-02 |