| NPI | 1558748335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029792) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95029635) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-01-03 |