| NPI | 1275016156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95020669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95044827) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-02-02 |