| NPI | 1649804386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NPF95010914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF95010914) |
| 363LC1500X Nurse Practitioner Community Health (Licence: CA NPF95010914) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA NPF95010914) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2025-05-21 |