| NPI | 1518622067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95020925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020925) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95020925) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-04-30 |