| NPI | 1407547318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022567) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 798325) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 82421) | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |