| NPI | 1487030656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002583) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002583) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 1487030656) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-05-22 |