| NPI | 1154970259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95013307) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 622723) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95013307) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2021-12-03 |