| NPI | 1518435437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95025977) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 544793) | |
| 363A00000X Physician Assistant (Licence: CA PA56381) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2024-09-26 |