| NPI | 1407535594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026001) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95026001) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95026001) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |