| NPI | 1215745377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1158951) |
| 163W00000X Registered Nurse (Licence: CA 95230406) | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |