| NPI | 1477167765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP9524330) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 280957) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-09-18 |