| NPI | 1497274385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007384) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9500734) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 9500734) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2021-04-13 |