| NPI | 1568982569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717520) |
| 163W00000X Registered Nurse (Licence: CA 95125744) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-07-21 |