| NPI | 1427512714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95159814) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95013764) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2023-04-07 |