| NPI | 1184236705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95035975) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 304169) |
| 163W00000X Registered Nurse (Licence: AZ RN215626) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 304169) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2025-10-02 |