| NPI | 1386226272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95017518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95135095) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-12-22 |