| NPI | 1215500061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95018270) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95042398) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-05-25 |