| NPI | 1306355698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018326) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95107459) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95107459) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2021-09-08 |