| NPI | 1164092862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020173) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA 95049360) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2022-12-19 |