| NPI | 1598391740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95145857) |
| 363L00000X Nurse Practitioner (Licence: CA 95027215) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-04-15 |