| NPI | 1346801719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95018772) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95200885) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-11-03 |