| NPI | 1326870502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030742) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 633365) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA F08240497) | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-10-10 |