| NPI | 1316777170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017507) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95017507) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95017507) | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |