| NPI | 1477224277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95132874) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |