| NPI | 1639782501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016443) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 833253) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-07-16 |