| NPI | 1548614506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003721) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003721) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95003721) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |