| NPI | 1518532795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95245481) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95024110) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2023-03-10 |