| NPI | 1306355839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022094) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 845333) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-06-05 |