| NPI | 1316615313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95018497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 224087) |
| 163W00000X Registered Nurse (Licence: CA 95201309) | |
| 363LF0000X Nurse Practitioner Family (Licence: LA 224087) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2023-04-04 |