| NPI | 1245706605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022142) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: CA 95148321) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 95148321) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-05-05 |