| NPI | 1588235139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018889) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95137659) |
| 363L00000X Nurse Practitioner (Licence: CA NP9501889) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-03-14 |