| NPI | 1477141711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95016284) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95016284) |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95016284) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-06-22 |