| NPI | 1578266789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029146) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95248833) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2024-10-16 |