| NPI | 1285344788 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021092)  | 
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95021092)  | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95021092)  | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021092)  | |
| Enumeration Date | 2022-11-25 | 
| Last Update Date | 2022-11-26 |