| NPI | 1639408040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95002422) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95002422) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 266806) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2023-12-21 |