| NPI | 1215680517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95029876) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: CA 95220133) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-04-27 |