| NPI | 1255949897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95019923) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95208674) |
| 163WC1500X Registered Nurse, Community Health (Licence: MA 2319162) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-03-29 |