| NPI | 1649925421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020049) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95020049) |
| 363L00000X Nurse Practitioner (Licence: CA 95020049) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95020049) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95020049) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 95020049) | |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |