| NPI | 1417678426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95102554) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 2022026296) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-11-28 |