| NPI | 1326770504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2347775) |
| 163W00000X Registered Nurse (Licence: CA 95282803) | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-03-05 |