| NPI | 1215307095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002596) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002596) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002596) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-08-09 |