| NPI | 1538727607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95011900) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 765764) |
| 163WH0200X Registered Nurse Home Health (Licence: CA 765764) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2025-03-26 |